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Integrated Tracking, Referral, and Algorithmic Management (I-TREC) System for Hypertension and Diabetes

Award Number: U01HL138635
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: COOPERATIVE AGREEMENT
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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PROJECT ABSTRACT Nearly one in three Indian adults has hypertension and many more have pre-hypertension. In rural India, roughly three-quarters of adults with hypertension never receive treatment, and 90% of individuals receiving treatment for hypertension fail to achieve adequate blood pressure control. The current Indian public healthcare system is neither oriented nor equipped to process the total caseload of hypertension. This is due in part to poor coordination across facilities at different levels of the healthcare system and lack of mechanisms to efficiently follow-up with or refer patients, resulting in a mismatch between patient needs and treatment availability as well as inefficient use of limited healthcare resources. To address these gaps in the healthcare delivery model, the All India Institute of Medical Sciences, Public Health Foundation of India, and Emory University will partner to develop an Integrated Tracking, Referral, Electronic Decision Support and Care Coordination (I-TREC) package focused on hypertension and its most frequent comorbidity, diabetes. This multi-component package will improve coordination of care across various levels of the healthcare facility hierarchy and will include electronic data capture, electronic decision support, and care coordination training for healthcare professionals; text messaging to patients for appointments and disease management advice; facility level retrieval of patient history and inventory needs; and health administration monitoring of data across levels. Our objectives are to (1) adapt I-TREC for implementation within the public healthcare system with input of local, national, and international stakeholders; (2) implement I-TREC across all 15 health facilities comprising the government healthcare system in Banga Block (sub-district level administrative unit) of Punjab state, India; and (3) evaluate I-TREC using a quasi-experimental design by comparing performance of key indicators in Banga Block with another non-neighboring but comparable block in the same district. The proposed T4 intervention promises to consolidate previously proven strategies at single-levels of the healthcare hierarchy into a coordinated system of care delivery that relies entirely on the existing healthcare workforce. Findings will have the potential to revolutionize care for deadly chronic diseases across India in the most vulnerable and hard-to-reach patients who rely heavily on the government healthcare system and generate a scalable model that can be applied to other similar settings.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2021	ALL INDIA INSTITUTE OF MEDICAL SCIENCES	ANSARI NAGAR,	NEW DELHI				IND	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	000	5	5/27/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $231,411 )
2021	2021	ALL INDIA INSTITUTE OF MEDICAL SCIENCES	ANSARI ROAD	NEW DELHI	DELHI			IND	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	001	5	8/27/2021	NON-COMPETING CONTINUATION	$231,411
2021	2020	ALL INDIA INSTITUTE OF MEDICAL SCIENCES	ANSARI ROAD	NEW DELHI	DELHI			IND	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	000	4	12/12/2020	NON-COMPETING CONTINUATION	$0
														Subtotal = $231,411

Issue Date FY: 2020 ( Subtotal = $242,721 )
2020	2020	ALL INDIA INSTITUTE OF MEDICAL SCIENCES	ANSARI ROAD	NEW DELHI	DELHI	110029		IND	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	000	4	7/17/2020	NON-COMPETING CONTINUATION	$242,721
														Subtotal = $242,721

Issue Date FY: 2019 ( Subtotal = $259,842 )
2019	2019	ALL INDIA INSTITUTE OF MEDICAL SCIENCES	ANSARI ROAD	NEW DELHI	DELHI	110029		IND	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	000	3	6/17/2019	NON-COMPETING CONTINUATION	$259,842
														Subtotal = $259,842

Issue Date FY: 2018 ( Subtotal = $275,383 )
2018	2018	ALL INDIA INSTITUTE OF MEDICAL SCIENCES	ANSARI ROAD	NEW DELHI	DELHI	110029		IND	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	000	2	6/14/2018	NON-COMPETING CONTINUATION	$275,383
														Subtotal = $275,383

Issue Date FY: 2017 ( Subtotal = $288,844 )
2017	2017	ALL INDIA INSTITUTE OF MEDICAL SCIENCES	ANSARI ROAD	NEW DELHI	DELHI	110029		IND	Translation and Implementation Science Research for Heart, Lung, Blood Diseases, and Sleep Disorders	000	1	9/1/2017	NEW	$288,844
														Subtotal = $288,844

Grand Total All Awards = $1,298,201

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Integrated Tracking, Referral, and Algorithmic Management (I-TREC) System for Hypertension and Diabetes

Award Number: U01HL138635

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: COOPERATIVE AGREEMENT

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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